Provider Demographics
NPI:1003511064
Name:INLAND NORTHWEST ACUPUNCTURE, PLLC
Entity Type:Organization
Organization Name:INLAND NORTHWEST ACUPUNCTURE, PLLC
Other - Org Name:INWA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATULIS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, AEMP
Authorized Official - Phone:509-240-9339
Mailing Address - Street 1:9960 N NEWPORT HWY # 1029
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-1366
Mailing Address - Country:US
Mailing Address - Phone:509-240-9339
Mailing Address - Fax:509-282-5663
Practice Address - Street 1:909 N PINES RD
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4932
Practice Address - Country:US
Practice Address - Phone:509-240-9339
Practice Address - Fax:509-282-5663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty